Individual provider Active NPI

John D Wrench, MD

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1083669675
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G70652 Issued in CA
Practice address
2320 Bath St
Suite 208
Santa Barbara, CA 93105-4339
Phone
(805) 682-7984
Fax
(805) 569-2964
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G70652 CA Primary

Addresses

Primary practice location

2320 Bath St
Suite 208
Santa Barbara, CA 93105-4339

Mailing address

PO Box 15778
Irvine, CA 92623-5778
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00G706520OtherCABLUE SHIELD OF CA
00G706520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000969 CA Practitioner - Diagnostic Radiology 8426950726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians

Practice addresses (Care Compare)

1306 Maricopa Hwy
Ojai, CA 93023-3131
Phone (805) 646-1401

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2872

2050 Viborg Rd
Solvang, CA 93463-2220
Phone (800) 841-4236

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5655

2320 Bath St
Suite 113
Santa Barbara, CA 93105-4339
Phone (805) 682-7744

351 S Patterson Ave
Santa Barbara, CA 93111-2403
Phone (805) 681-6406

Hospital & facility affiliations

  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Merit-based Incentive Payment System (MIPS)

Final score
77.33 of 100Reported as individual
Quality
73.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G70652CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 14, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 14, 2019 Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Mar 1, 2008 Accepting new patients
Prostate Institute of America Inc Diagnostic Radiology PastSince Oct 1, 2022 Accepting new patients

Locations

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

2001 Solar Dr
Ste 135
Oxnard, CA 93036
Phone (805) 861-2200

1700 N Rose Ave
Ste 110
Oxnard, CA 93030
Phone (805) 983-0883

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

2320 Bath St
Ste 208
Santa Barbara, CA 93105

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

2705 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 861-2200

4516 Market St
Ventura, CA 93003
Phone (805) 654-8170

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

168 N Brent St
Ste 401
Ventura, CA 93003
Phone (805) 652-5093

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1083669675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15778",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926235778",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST",
            "address_2": "SUITE 208",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054339",
            "telephone_number": "805-682-7984",
            "fax_number": "805-569-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENCH",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G70652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G706520",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G706520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.